Individual provider · Type 1 NPI

Susan John Moore, F.N.P.

Family Nurse Practitioner · Kokomo, IN

NPI number 1134400864 Active

Practice location

3118 South Lafountain, Indiana Health Center - Kokomo
Kokomo, IN 46902-3710

Call (765) 864-4160 Map

Fax (765) 864-4166

Mailing address

8003 Castleway Dr
Indianapolis, IN 46250-1946

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X71003756A (IN)
Family Nurse Practitioner Primary 363LF0000X71003756A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1134400864

Susan John Moore, F.N.P.'s National Provider Identifier is 1134400864, issued on Sep 8, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kokomo, IN. The record was last updated on Jan 24, 2023.